[Transfusion in neurosurgery].
In neurosurgery, the question of the optimal transfusion "trigger" remains a controversial matter. Regarding the brain, the current data are still incomplete, justifying the continuation of experimental and clinical studies. The existing expert advices are based on these rather poor data and would probably evolve after the completion of clinical studies in progress. In spine surgery, the situation is simpler and the transfusional stakes are quite similar to those of orthopedics and traumatology. With regard to hemostasis, standardized recommendations exist depending on the laboratory test results or the anticoagulant treatments of the patient.
Mertes
P-M
PM
Département d'anesthésie-réanimation, hôpital Central, CHU de Nancy, Nancy, France. pm.mertez@chu-nancy.fr
Baumann
A
A
Audibert
G
G
D000740:Anemia / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D001804:Blood Transfusion, Autologous / Q000295:instrumentation; D016543:Central Nervous System Neoplasms / Q000098:blood supply / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000601:surgery / Q000628:therapy; D002560:Cerebrovascular Circulation / Q000502:physiology; D006259:Craniocerebral Trauma / Q000601:surgery; D004621:Embolization, Therapeutic; D017707:Erythrocyte Transfusion; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000517:prevention & control; D002534:Hypoxia, Brain / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000517:prevention & control / Q000628:therapy; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures